止腹痛如神。
白芍药（酒炒，三钱） 甘草（炙，一钱五分
水煎服。
脉迟为寒，加干姜；脉洪为热，加黄连；脉缓为湿，加苍术、生姜；脉涩伤血
加当归；脉弦伤气，加芍药。
保和丸 （见心痛）
消食积，清湿热，腹中有一条扛起者，是食积也。舌干口燥，是湿热
也，本方主之，有热，加黄连。
消热食，除积滞，腹痛拒按，便闭溺赤，名曰阳结，宜用本方。若冷食所
伤，宜用木香丸。若冷热互伤，须酌其所食冷热之多寡而并用之。此东垣法也。
黄芩（一两） 黄连（五钱） 大黄（七钱五分） 神曲 白术 枳实 陈皮（各五钱
荷叶一枚，煎水迭为丸，量虚实用。
五味异功散 （见虚寒。
香砂理中汤 （见中寒）
治客寒犯胃，其症手足厥冷，口鼻气冷，其痛绵绵不止，喜热畏
寒，脉沉细，不比热痛乍止乍作，喜冷畏热，唇焦舌燥，口渴脉洪也。寒热之别，相隔千里
香砂二陈汤 （见类中，即二陈汤加木香、砂仁。
治寒积冷食，腹痛拒按，或大便闭结，谓之冷闭，名曰阴结，本方攻之。
木香 丁香（各一钱五分） 干姜（三钱） 麦芽（炒，五钱） 陈皮（三钱） 巴豆（去壳炒黑，三十粒
神曲煮糊为丸。每服十丸，或二十丸，开水下，痛甚者倍之。所食之物，应随利出，如
利不止，以冷粥饮之，即止。
木香调气散 （见类中。
泽兰汤 （见吐血。
化虫丸 （见心痛。
四味香薷饮 （见伤暑）
（此方）治疗腹痛效果神奇。
白芍药（用酒炒制，三钱），甘草（用蜜炙制，一钱五分）。
用水煎煮后服用。
脉象迟慢属于寒证，加干姜；脉象洪大属于热证，加黄连；脉象缓弱属于湿证，加苍术、生姜；脉象涩滞提示伤血，加当归；脉象弦紧提示伤气，加芍药。
保和丸（参见心痛章节）。
消除食积，清利湿热。腹部感觉有一条硬块隆起，这是食积的表现。舌干口燥，这是湿热的表现，本方主治。如果有热象，加黄连。
清除热性食物积滞，去除积滞。腹痛且拒绝按压，大便闭塞，小便赤黄，称为阳结，适宜使用本方。如果是冷食所伤，适宜使用木香丸。如果冷热互伤，必须根据所进食物的冷热程度比例来同时使用这两个方剂。这是李东垣的方法。
黄芩（一两），黄连（五钱），大黄（七钱五分），神曲，白术，枳实，陈皮（各五钱）。
用荷叶一枚，煎水泛为丸剂，根据患者虚实情况决定用量。
五味异功散（参见虚寒章节）。
香砂理中汤（参见中寒章节）。
治疗外感寒邪侵犯胃腑，症状表现为手足厥冷，口鼻呼出之气寒冷，疼痛绵绵不止，喜欢温热而畏惧寒冷，脉象沉细。这与热痛不同，热痛是突然停止又发作，喜欢寒冷而畏惧热气，嘴唇焦裂，舌面干燥，口渴，脉象洪大。寒证与热证的区别，相差千里。
香砂二陈汤（参见类中风章节，即二陈汤加入木香、砂仁）。
治疗寒积和冷食引起的腹痛，拒绝按压，或者大便闭塞不通，称为冷闭，名为阴结，本方攻逐治疗。
木香，丁香（各一钱五分），干姜（三钱），麦芽（炒制，五钱），陈皮（三钱），巴豆（去壳炒黑，三十粒）。
用神曲煮成糊状作为粘合剂制成丸剂。每次服用十丸或二十丸，开水送服，疼痛剧烈的加倍剂量。所吃的食物，会随着腹泻排出。如果腹泻不止，喝冷的粥即可停止。
木香调气散（参见类中风章节）。
泽兰汤（参见吐血章节）。
化虫丸（参见心痛章节）。
四味香薷饮（参见伤暑章节）。
(This prescription) is miraculous for relieving abdominal pain.
Bai Shaoyao (White Peony Root, *Paeoniae Radix Alba*) stir-fried with wine, 3 qian; Gancao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*) honey-roasted, 1.5 qian.
Decoct in water and take orally.
A slow pulse (*Chi Mai*) indicates Cold; add Ganjiang (Dried Ginger, *Zingiberis Radix*). A flooding pulse (*Hong Mai*) indicates Heat; add Huanglian (Coptis Rhizome, *Coptidis Rhizoma*). A moderate/slow pulse (*Huan Mai*) indicates Dampness; add Cangzhu (Atractylodis Rhizoma, *Atractylodis Rhizoma*) and Shengjiang (Fresh Ginger, *Zingiberis Rhizoma Recens*). A choppy pulse (*Se Mai*) indicates Blood injury; add Danggui (Angelica Sinensis, *Angelicae Sinensis Radix*). A wiry pulse (*Xian Mai*) indicates Qi injury; add Shaoyao (Peony Root, *Paeoniae Radix*).
Baohe Wan (Preserve Harmony Pill) (See section on Heartache).
Eliminates food stagnation and clears Damp-Heat. The sensation of a hard mass rising in the abdomen indicates Food Stagnation. Dry tongue and parched mouth indicate Damp-Heat. This formula is indicated for these conditions. If Heat signs are present, add Huanglian (Coptis Rhizome, *Coptidis Rhizoma*).
Clears Heat-type food accumulation and removes stagnation. Abdominal pain that refuses pressure, constipation, and dark red urine constitute Yang Jie (Yang Knotting/Obstruction); this formula is appropriate. If injured by Cold food, Muxiang Wan (Musk Pill) is appropriate. If both Cold and Heat are involved, one must weigh the proportion of cold versus hot foods ingested and use both formulas together. This is the method of Li Dongyuan.
Huangqin (Scutellaria Root, *Scutellariae Radix*), 1 liang; Huanglian (Coptis Rhizome, *Coptidis Rhizoma*), 5 qian; Dahuang (Rhubarb Root and Rhizome, *Rhei Radix et Rhizoma*), 7.5 qian; Shenqu (Massa Medicata Fermentata, *Medicaginis Fermentatum*), Baizhu (Atractylodes Macrocephala Rhizome, *Atractylodis Macrocephalae Rhizoma*), Zhishi (Immature Bitter Orange, *Citri Reticulatae Fructus Immaturus*), Chenpi (Tangerine Peel, *Citri Reticulatae Pericarpium), each 5 qian.
Use one Lotus Leaf (*Nelumbinis Folium*) decocted in water to form pills. Dosage should be adjusted according to the patient's Deficiency or Excess condition.
Wuwei Yigong San (Five-Ingredient Decoction for Extraordinary Merit) (See section on Deficient-Cold).
Xiangsha Lizhong Tang (Amomum and Aucklandia Decoction to Regulate the Middle) (See section on Middle-Jiao Cold).
Treats external Cold invading the Stomach. Symptoms include cold extremities, cold breath from mouth and nose, continuous lingering pain, preference for warmth and aversion to cold, and a deep, fine pulse. This differs significantly from Heat pain, which comes and goes suddenly, prefers cold and aversion to heat, presents with cracked lips, dry tongue, thirst, and a flooding pulse. The distinction between Cold and Heat is vast.
Xiangsha Erchen Tang (Amomum and Aucklandia Two-Aged Decoction) (See section on Stroke-like Syndromes); it is Erchen Tang (Two-Aged Decoction) plus Muxiang (Aucklandiae Radix, *Aucklandiae Radix*) and Sharen (Amomi Fructus, *Amomi Fructus*).
Treats abdominal pain caused by Cold accumulation and cold food, refusing pressure, or constipation, termed Leng Bi (Cold Obstruction) or Yin Jie (Yin Knotting/Obstruction). This formula attacks the condition.
Muxiang (Aucklandiae Radix, *Aucklandiae Radix*), Dingxiang (Caryophylli Flos, *Caryophylli Flos*), each 1.5 qian; Ganjiang (Dried Ginger, *Zingiberis Radix*), 3 qian; Maoya (Hordei Fructus Germinatus, *Hordei Fructus Germinatus) stir-fried, 5 qian; Chenpi (Tangerine Peel, *Citri Reticulatae Pericarpium), 3 qian; Badou (Croton Seed, *Crotonis Fructus) shelled and stir-fried until black, 30 grains.
Use Shenqu (Massa Medicata Fermentata, *Medicaginis Fermentatum*) paste to bind into pills. Take 10 or 20 pills per dose with warm water. For severe pain, double the dose. The ingested food will be expelled through diarrhea. If diarrhea does not stop, drink cold congee to halt it.
Muxiang Tiaoqi San (Aucklandia Qi-Regulating Powder) (See section on Stroke-like Syndromes).
Zelan Tang (Lycopus Decoction) (See section on Hematemesis).
Huachong Wan (Insect-Dissolving Pill) (See section on Heartache).
Siwei Xiangru Yin (Four-Ingredient Elsholtzia Decoction) (See section on Summerheat Injury).